NORTHERN NEW ENGLAND DIAGNOSTICS (NPI# 1013205558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013205558 |
| Entity Type | Organization |
| Organization Name | NORTHERN NEW ENGLAND DIAGNOSTICS |
| Other Organization Name | MANCHESTER DIAGNOSTICS |
| Practice Address |
1053 Western Ave Manchester ME 04351-3403 |
| Practice Telephone | 2076224500 |
| Practice Fax Number | 2076225452 |
| Mailing Telephone | 2076224500 |
| Mailing Fax Number | 2076225452 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | MADELINE MRAZIK (BUSINESS MANAGER) |
| Authorized Official Telephone | 2074464749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Manchester Diagnostics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN NEW ENGLAND DIAGNOSTICS, LLC | 25 Bowdoin St, Manchester, ME 04351-3554 |
| Street Address |
1053 WESTERN AVE |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639260847 | Derrick S Tooth | Urology | 1053 Western Ave, Manchester, ME 04351-3403 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224509 | Expressmed, LLC | Clinical Medical Laboratory | 35 Kosciuszko St, Manchester, NH 03101-1608 | 2020-01-22 |
| 1871930834 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2013-05-31 |
| 1750627881 | Catholic Medical Center | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2012-12-18 |
| 1538189725 | Quest Diagnostics Incorporated | Clinical Medical Laboratory | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-07-20 |
| 1356329676 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972970341 | Provider Laboratory Services LLC | Clinical Medical Laboratory | 88 Oxford St, Lewiston, ME 04240-7825 | 2015-09-01 |
| 1467845990 | G6 Genomics, LLC | Clinical Medical Laboratory | 189 Darling Ave, Suite A-34, South Portland, ME 04106 | 2015-03-09 |
| 1265793202 | Accupath Diagnostic Laboratories Inc | Clinical Medical Laboratory | 27 Homeland Lane, Friendship, ME 04547 | 2012-06-06 |
| 1154693703 | Coastal Testing | Clinical Medical Laboratory | 316 Us Route 1, Suite G, York, ME 03909-1673 | 2012-01-29 |
| 1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
| 1346228509 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 222 Auburn St, Portland, ME 04103-6004 | 2006-01-06 |
| 1306846753 | Nordx | Clinical Medical Laboratory | 301a Us Route 1, Scarborough, ME 04074-9701 | 2005-07-28 |
| 1588661565 | Foundation for Blood Research | Clinical Medical Laboratory | 8 Nonesuch Rd, Scarborough, ME 04074-9369 | 2005-07-05 |
| 1598387318 | Nephrogen Inc. | Clinical Medical Laboratory | 39 Church St, Bethel, ME 04217-3809 | 2020-05-14 |
| 1427444934 | Sunshine Pathways, LLC | Clinical Medical Laboratory | 34 Atlantic Pl, South Portland, ME 04106-2316 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
Please comment or provide details below to improve the information on NORTHERN NEW ENGLAND DIAGNOSTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.